Healthcare Provider Details
I. General information
NPI: 1750465332
Provider Name (Legal Business Name): CAIN CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2006
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 S BELLAIRE ST STE 1210
DENVER CO
80222-4336
US
IV. Provider business mailing address
1720 S BELLAIRE ST STE 1210
DENVER CO
80222-4336
US
V. Phone/Fax
- Phone: 303-399-2447
- Fax: 303-691-5772
- Phone: 303-399-2447
- Fax: 303-691-5772
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 4518 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | 4518 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 4518 |
| License Number State | CO |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 4518 |
| License Number State | CO |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225000000X |
| Taxonomy | Orthotic Fitter |
| License Number | 4518 |
| License Number State | CO |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | 4518 |
| License Number State | CO |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 4518 |
| License Number State | CO |
VIII. Authorized Official
Name:
KAREN
CAIN
Title or Position: PRESIDENT
Credential: DC
Phone: 303-399-2447